Background: Sarcopenia and handgrip strength have been observed and correlated in association with hypertension among the old-age people. However, the results reported in different studies were inconsistent. In the current study, we conducted a systematic review and meta-analysis to reveal the significant association between sarcopenia, handgrip strength, and hypertension in older adults. Methods: PubMed, MEDLINE, Cochrane Library, and EMBASE databases were searched from inception to 15 November, 2019 to retrieve the original research studies that addressed the association between sarcopenia, handgrip strength, and hypertension. All the relevant data were retrieved, analyzed, and summarized. Results: 19 studies met the inclusion criteria and a total of 21301 participants were included in the meta-analysis. Eight eligible studies have reported the odd ratios (ORs) of hypertension and the ORs ranged from 0.41 to 4.38. When pooled the ORs together, the summarized ORs was 1.29 95% confidence interval (CI) =1.00-1.67. The summarized ORs for the Asian group 1.50 (95% CI=1.35-1.67) was significantly higher than that of Caucasian group 1.08 (95% CI=0.39-2.97). Eleven studies have provided the data on association between handgrip strength and hypertension. The overall ORs and 95% CI was 0.99 (95% CI=0.80-1.23), showing no significant association. Conclusion: Sarcopenia was associated with hypertension, but no correlation was found between handgrip strength and hypertension in older adults.

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Posted 30 Mar, 2020
On 03 Jun, 2020
Received 23 May, 2020
Received 22 May, 2020
On 05 May, 2020
On 04 May, 2020
Received 30 Apr, 2020
Invitations sent on 29 Apr, 2020
On 29 Apr, 2020
On 26 Mar, 2020
On 25 Mar, 2020
On 25 Mar, 2020
On 24 Feb, 2020
Received 07 Feb, 2020
Received 03 Feb, 2020
On 24 Jan, 2020
On 22 Jan, 2020
Received 22 Jan, 2020
On 20 Jan, 2020
On 17 Jan, 2020
Invitations sent on 17 Jan, 2020
On 10 Jan, 2020
On 09 Jan, 2020
On 03 Jan, 2020
Posted 30 Mar, 2020
On 03 Jun, 2020
Received 23 May, 2020
Received 22 May, 2020
On 05 May, 2020
On 04 May, 2020
Received 30 Apr, 2020
Invitations sent on 29 Apr, 2020
On 29 Apr, 2020
On 26 Mar, 2020
On 25 Mar, 2020
On 25 Mar, 2020
On 24 Feb, 2020
Received 07 Feb, 2020
Received 03 Feb, 2020
On 24 Jan, 2020
On 22 Jan, 2020
Received 22 Jan, 2020
On 20 Jan, 2020
On 17 Jan, 2020
Invitations sent on 17 Jan, 2020
On 10 Jan, 2020
On 09 Jan, 2020
On 03 Jan, 2020
Background: Sarcopenia and handgrip strength have been observed and correlated in association with hypertension among the old-age people. However, the results reported in different studies were inconsistent. In the current study, we conducted a systematic review and meta-analysis to reveal the significant association between sarcopenia, handgrip strength, and hypertension in older adults. Methods: PubMed, MEDLINE, Cochrane Library, and EMBASE databases were searched from inception to 15 November, 2019 to retrieve the original research studies that addressed the association between sarcopenia, handgrip strength, and hypertension. All the relevant data were retrieved, analyzed, and summarized. Results: 19 studies met the inclusion criteria and a total of 21301 participants were included in the meta-analysis. Eight eligible studies have reported the odd ratios (ORs) of hypertension and the ORs ranged from 0.41 to 4.38. When pooled the ORs together, the summarized ORs was 1.29 95% confidence interval (CI) =1.00-1.67. The summarized ORs for the Asian group 1.50 (95% CI=1.35-1.67) was significantly higher than that of Caucasian group 1.08 (95% CI=0.39-2.97). Eleven studies have provided the data on association between handgrip strength and hypertension. The overall ORs and 95% CI was 0.99 (95% CI=0.80-1.23), showing no significant association. Conclusion: Sarcopenia was associated with hypertension, but no correlation was found between handgrip strength and hypertension in older adults.

Figure 1

Figure 2

Figure 3

Figure 4

Figure 5

Figure 6

Figure 7

Figure 8
This is a list of supplementary files associated with this preprint. Click to download.
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